Omni Dermatology Inc
Business Name:
Physician First Name:
Tana
Physician Middle Initial:
Lynn
Physician Last Name:
Frumento
Practice Name:
Specialty:
Physician Assistant
Office Designation:
Primary
Address:
4840 E Indian School Road
85018
85018
Suite:
Suite 102
City:
Phoenix
State:
AZ
County:
Maricopa
Business Phone Number:
(623)299-9540
Business Website Address:
Business Fax:
(623)299-9530
ASPA Effective Date:
6/1/2009
Business Name:
Physician First Name:
Andrew
Physician Middle Initial:
J.
Physician Last Name:
Racette
Practice Name:
Specialty:
Dermatology
Office Designation:
Primary
Address:
4840 E Indian School Road
85018
85018
Suite:
Suite 102
City:
Phoenix
State:
AZ
County:
Maricopa
Business Phone Number:
(623)299-9540
Business Website Address:
Business Fax:
(623)299-9530
ASPA Effective Date:
4/3/2013
Business Name:
Physician First Name:
Erik
Physician Middle Initial:
Jason
Physician Last Name:
Martinez
Practice Name:
Specialty:
Nurse Practitioner
Office Designation:
Primary
Address:
4840 E Indian School Road
85018
85018
Suite:
Suite 102
City:
Phoenix
State:
AZ
County:
Maricopa
Business Phone Number:
(623)299-9540
Business Website Address:
Business Fax:
(623)299-9530
ASPA Effective Date:
1/7/2019
Business Name:
Physician First Name:
Reem
Physician Middle Initial:
Mariam
Physician Last Name:
Haddad
Practice Name:
Specialty:
Dermatology
Office Designation:
Primary
Address:
4840 E Indian School Road
85018
85018
Suite:
Suite 102
City:
Phoenix
State:
AZ
County:
Maricopa
Business Phone Number:
(623)299-9540
Business Website Address:
Business Fax:
(623)299-9530
ASPA Effective Date:
9/8/2020